Organization Active NPI

Angel Wings, LLC Group Home & Personal and Respite Care Services

  • Respite Care
  • Magnolia, MS
National Provider Identifier
1194283051
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ANGEL WINGS, LLC GROUP HOME & PERSONAL AND RESPITE CARE SERVICES
Practice address
100 Magnolia St
Magnolia, MS 39652-2826
Phone
(769) 327-2024
Fax
(769) 327-2032
NPI assigned
Mar 8, 2019
Last updated
Mar 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Galdino, BSN, RN
Title
Coo/Cno
Phone
(601) 341-6452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

100 Magnolia St
Magnolia, MS 39652-2826

Mailing address

100 Magnolia St
Magnolia, MS 39652-2826
Phone (769) 327-2024

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2341987Angel Wing Personal & Respite Care Home LLC100 Magnolia Street, Magnolia, MS 39652Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1194283051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522826",
            "telephone_number": "769-327-2024",
            "fax_number": "769-327-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAGNOLIA ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522826",
            "telephone_number": "769-327-2024",
            "fax_number": "769-327-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS, LLC GROUP HOME & PERSONAL AND RESPITE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "GALDINO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "COO/CNO",
        "authorized_official_telephone_number": "601-341-6452",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.